Fill and Sign the Convey and Deliver Unto a Limited Liability Company Organized Form

- Quitclaim Deed - Page 1 - This document prepared by (and after recording return to): ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use O nly ------------- Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: QUITCLAIM DEED (Individual to LLC) STATE OF __________________ PARISH OF __________________ KNOW ALL MEN BY THESE PRESENTS THAT: FOR VALUABLE CONSIDERATION OF TEN DOLLARS ($10.00), and other good and valuable consideration , cash in hand paid, the receipt and sufficiency of which is hereby acknowledged, ______________________________ , an Individual, married unmarried, whose address is ______________________ , hereinafter referred to as “Vendor”, does hereby quitclaim, give, grant, sell, convey, and deliver unto ______________________________ , a Limited Liability Company organized under the laws of the state of _______________ , located at the following address ______________________ , hereinafter “Vendee”, the following lands and property, together with all improvements located thereon, lying in the Parish of ______________________ , State of Louisiana, to- wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ Parish, Louisiana. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Vendor, if any, which are reserved by Vendor. SUBJECT to all easements, rights -of-way, protective covenants and mineral reservations of record, if any. Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ____ __________________ Parish, Louisiana. The certificate of mortgage is hereby waived by the parties, and evidence of the payment of taxes produced, and the Not ary is relieved of the requirement of filing this instrument. - Quitclaim Deed - Page 2 - DONE AND PASSED at my office in ______________________________ Parish, State of Louisiana, in the presence of ______________________ and ______________________ lawful witnesses on this ______ day of ______ , 20 ______ . ATTEST: ______________________ ______________________ ______________________ ______________________ __________________________________ Vendor {Type Name} Signed, Sealed and Delivered in the presence of: __________________________________ Witness __________________________________ Witness STATE OF ____________________ PARISH OF ____________________ On this _______ __ day of _________________________ , ________ , before me personally appeared _______________________________ , to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that (he/she/they) executed it as (his/her/their) free act and deed. _________________________________ Notary Public Print Name: ____________________ My commission expires: ____________________ - Quitclaim Deed - Page 3 - Vendor(s) Name, Address, phone: Vendee(s) Name, Address, phon e: SEND TAX STATEMENTS TO VENDEE